Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.36 / $352.56 / $5,449.00	Facility		$103.36	$352.56	$5,449.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.00 / $165.31 / $338.81	Facility		$87.00	$165.31	$338.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $738.78 / $738.78 / $12,000.00	Facility		$738.78	$738.78	$12,000.00